Organization Active NPI

Abner O Rayapati MD LLC

  • Psychiatry Physician
  • Lexington, KY
National Provider Identifier
1437879541
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ABNER O RAYAPATI MD LLC
Practice address
2220 Executive Dr Ste 102
Lexington, KY 40505-4871
Phone
(859) 737-0904
NPI assigned
Aug 30, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Carter
Title
Credentialing Manager
Phone
(859) 737-0904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2220 Executive Dr Ste 102
Lexington, KY 40505-4871

Mailing address

2220 Executive Dr Ste 102
Lexington, KY 40505-4871

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david@mpcg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231010002077 KY Part B Supplier - Clinic/Group Practice 4688033418 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2331168Abner O Rayapati MD, LLC2220 Executive Dr, Ste 102, Lexington, KY 40505Certificate of waiverSep 25, 2027

National Provider Directory

National Provider Directory

Locations

2220 Executive Dr
Ste 102
Lexington, KY 40505
Phone (859) 309-2603

Interoperability endpoints

  • Direct secure messaging: david@mpcg.org

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1437879541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 EXECUTIVE DR STE 102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 EXECUTIVE DR STE 102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054871",
            "telephone_number": "859-737-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABNER O RAYAPATI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "859-737-0904"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david@mpcg.org",
            "affiliation": "N",
            "endpointDescription": "Practice Email Address",
            "address_1": "2220 Executive Dr Ste 102",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405054871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.